Soul Survivor Supportive Living Fdn
NPI #1679351704 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1679351704
- Entity Type
- Organization
- Organization Name
- Soul Survivor Supportive Living Fdn
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 19, 2023
- Last Updated
- Sep 19, 2023
Practice Location
- Address
- 3612 OAK GROVE DR
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-3728
- Phone
- (405) 863-5578
Authorized Official
- Name
- MS. ELLA SPEED
- Title
- FOUNDER
- Phone
- (405) 863-5578
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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